| NPI | 1699269795 |
|---|---|
| Former Name | CLARE M CHANDLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 4472) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI pending) |
| 363AS0400X Physician Assistant, Surgical (Licence: WI pending) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2021-08-20 |